Bikeability Level 2 holiday course 2018 booking form

Complete the online form to book holiday Bikeability cycle training for school-aged children.

  • This form will take approximately 5 minutes to complete.
  • The questions marked with an asterisk (*) are mandatory and require an answer.
  • Once submitted, your form will be processed by our Road Safety Team who will then be in touch through the contact details you provide.
  • If you need any help with the form, please phone 033 022 26709.

Trainee details

Enter trainee's first name.
Enter trainee's last name.
Enter trainee's date of birth using numbers following the format dd/mm/yyyy, for example 01/12/1980.

Parent or carer details

Enter parent/carer's first name.
Enter parent/carer's last name.
Enter the address name or number. This could a flat, house or building name or number.
Enter the first line of the address. This could be the street name.
Enter the second line of the address if you need to. This could be the village name.
Enter the town or city of the postal address.
Enter the county.
Enter the postcode, with or without spaces.
Enter an email address where we can write to you.
Enter a daytime phone number that we can ring you on. This can be a mobile or landline number.
Enter another phone number we can reach you on. This can be a mobile or landline number.

Training course

Trainee's ability and cycling history

Please enter a summary of the trainee's cycle history and ability.
Enter details of any additional needs.
Enter any additional information we should be aware of.

Submitting your form

Click the submit button only once.

Please be patient as it will take a few moments to process your form and redirect you to our confirmation page.

 

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